Child mortality rates (CMR) indicate how a nation meets the needs of its children, so relative to their region, do some countries 'neglect' their children? Using William Penn (1693) statement 'It's a reproach to religion and government to suffer so much poverty and excess' to judge nations CMR from three world regions within the context of poverty, health and military gross domestic product (GDP) expenditure data. West (n = 21): USA, New Zealand and Canada are a reproach-Sweden, Japan Finland and Norway are commended. Asia (n = 17]: Pakistan, Myanmar and India are a reproach. Singapore and Thailand commended. Sub-Saharan Africa (n = 33): Relative to their region, Madagascar and Namibia are commended. Twelve countries failed the United Nations (UN) target, including the relatively rich Nigeria and South Africa. Poverty and higher CMR are linked in all three regions. Relative poverty and military expenditures correlated in the West but not in the other regions. In the pursuit of social justice, societies need to be alerted to the extent of the impact of poverty on child mortality even though some countries will find this challenging.